What are the responsibilities and job description for the Charge Capture Analyst -Patient Accounts, Remote for NJ, PA or NY position at RWJBarnabas Health?
This is a hybrid role (mostly remote) open to NJ, PA or NY only
The primary purpose of the Billing and Coding Analyst is to review, adjust, and report on clinical trial charges and claims representing research while working closely with Practice Management, registration and ancillary hospital departments and third parties. This position is responsible for ensuring research charges are collected and posted in accordance with Medicare’s Clinical Trial Policy, federal regulations and pharmaceutical/third party contracts.
JOB REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Bachelor’s Degree in a relevant science or a related field (e.g. Healthcare Administration, Business, Accounting, Finance, etc.) required.
Minimum of one (1) year of experience with CPT coding/patient financial services required.
Working knowledge of CPT, Modifiers, ICD and PCS required
At least one medical coding credential (CCS, CCS-P, CPC-H or CPC) is required within one year of hire.
One (1) to two (2) years of experience in oncology and/or clinical research conduct preferred.
Solid knowledge of computer software programs such as Excel®, Word®, and/or Access®.
The ideal candidate will be detail orientated, have excellent organizational, communication and interpersonal skills, hold selfaccountable to high standards of professional excellence, be able to maximize resources and be resourceful, seeks and accepts personal and professional responsibility on a continued basis.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
1. Facilitates clinical trial billing administrative start-up.
2. Responsible for tracking payments and billing sponsors.
3. Assists with clinical trial billing to third party payors.
4. Clinical Research Billing and Regulatory Compliance
5. Serves productively on Rutgers CINJ, departmental and other committees as assigned.
6. Collaborates with Finance to coordinate documentation of each clinical trial account from the beginning of
protocol submission to the end of the study.
7. Assists management with Quality Assurance audits of research billing.
8. Works with Clinical Trial Educator to provide OnCore billing training for research staff and as-needed basis for
new hire employees.
9. Understands and keeps current with Food and Drug Administration and Medicare regulations applicable to
clinical trials. Understands interaction of Medicare regulations and/or third-party insurance to develop clinical
trial budgets.
10. Maintains up-to-date knowledge and adheres to policies and procedures set forth by RBHS, Cancer Institute of
New Jersey, and all relevant regulatory bodies.
11. Understands and adheres to Rutgers’ compliance standards as they appear in RBHS’s Corporate Compliance
Policy, Code of Conduct and Conflict of Interest Policy. Understands, demonstrates and models the Rutgers
Cancer Institute of New Jersey core values.
12. Keeps abreast of all pertinent federal, state and Rutgers’s compliance standards as they appear in RBHS’s
Corporate Compliance Policy, Code of Conduct and Interest policy.
13. Performs other related duties as assigned.